ATI RN
ATI RN pharmacology 2023 Questions
Extract:
Question 1 of 5
A nurse is assessing the breath sounds of an adult client who has pneumonia. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B. Following a systematic pattern from side-to-side moving down the client's chest allows the nurse to thoroughly assess all lung fields for any abnormal breath sounds, which is crucial in detecting pneumonia. Placing the bell of the stethoscope on the client's chest (
A) may not provide a comprehensive assessment of all lung fields. Asking the client to breathe deeply through the nose (
C) may not be necessary for assessing breath sounds and could potentially disrupt the assessment process. Instructing the client to sit erect with their head tilted slightly backward (
D) is not directly related to assessing breath sounds and may not enhance the nurse's ability to detect abnormal breath sounds.
Question 2 of 5
A nurse is planning an in-service to teach families about self-care resources for caregivers. Which of the following programs should the nurse plan to include?
Correct Answer: D
Rationale: The correct answer is D: Respite care. Respite care provides temporary relief to caregivers by offering short-term care for their loved ones. This program allows caregivers to take a break and attend to their own needs, preventing burnout and promoting overall well-being. Tertiary care (
A) involves specialized medical services, not specifically focused on caregiver support. Restorative care (
B) focuses on rehabilitation services for patients, not caregivers. Telemedicine care (
C) involves remote healthcare delivery, not directly related to caregiver resources.
Therefore, respite care is the most suitable program to include in the in-service for caregiver self-care.
Question 3 of 5
A nurse has initiated an incident report for a missed dose of medication on a client that caused no harm to the client. Which of the following responses by the nurse manager indicates the use of just culture?
Correct Answer: B
Rationale:
Correct
Answer: B
Rationale: Choosing option B demonstrates the use of just culture by focusing on understanding the root cause of the error rather than assigning blame. This approach aligns with just culture principles, which aim to promote a transparent environment where errors are viewed as opportunities for learning and system improvement. By reviewing the incident report to determine the cause of the missed medication, the nurse manager is emphasizing a non-punitive approach that encourages open reporting and fosters a culture of safety.
Summary of Other
Choices:
A: This response is punitive and does not align with just culture principles, as it involves termination without considering the circumstances or systemic factors contributing to the error.
C: Reporting the incident to the state board of nursing may be required in certain situations but does not necessarily reflect a just culture approach focused on learning and improvement.
D: Involving the legal team immediately can create a culture of fear and blame rather than emphasizing a just culture that prioritizes understanding and addressing system issues.
Question 4 of 5
A nurse is creating a plan of care for a client who has left-sided hemiplegia. Which of the following interventions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Apply an orthotic boot to the client's left foot. This intervention is important for preventing foot drop, a common complication of left-sided hemiplegia. An orthotic boot helps maintain the foot in a neutral position, preventing contractures and promoting proper alignment for ambulation. Resting the left arm over the chest (choice
A) does not address the issue of foot drop. Placing a pillow behind the head (choice
C) is not relevant to left-sided hemiplegia. Instructing the client to lean toward the left side (choice
D) is incorrect as it may increase the risk of falls.
Question 5 of 5
A nurse is caring for a client who speaks a different language and is having difficulty understanding them. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Find an available interpreter to help with communication. This is the best action because using a professional interpreter ensures accurate and clear communication between the nurse and the client, preventing misunderstandings and promoting effective care. Directing communication through the client's family (choice
A) may lead to misinterpretations or privacy concerns. Limiting instructions to short sentences (choice
B) may not effectively convey important information. Asking a coworker to translate (choice
C) may not guarantee accurate communication if the coworker is not a professional interpreter.